# EVANSTON FAMILY FOOT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700060902
- **Authorized official:** DR. JASON CANNON LEVITRE DPM (PODIATRIST)
- **Authorized official phone:** (307) 789-8997

## Contact information

- **Practice address:** 1565 HIGHWAY 150 SOUTH, SUITE C, EVANSTON, WY 82930-5348
- **Practice address phone:** (307) 789-8997
- **Practice address fax:** (307) 789-2624
- **Mailing address:** PO BOX 238, EVANSTON, WY 82931-0238
- **Mailing address phone:** (307) 789-8997
- **Mailing address fax:** (307) 789-2624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 127 | WY | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 01/06/2008